SIR Attachment J-2 Past Performance Questionnaire.docx

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ATTACHMENT J-2

FACTOR 2: PAST PERFORMANCE

Reference Information: Provide the following information for the Organization that performed the referenced work:

Reference Information

Offeror’s Name:

Reference’s Name:

Solicitation Number & Title:

Organization/Person Providing the Reference Information: Provide the following information for the Organization and Person/Point of Contact (POC) providing the reference (to assist us in tracking responses received and resolving any conflicts in the evaluation process if necessary):

Reference Information

Organization Name:

Questionnaire Completion Date:

Name of Contact:

Contact Information:

Telephone:

E-mail:

Organization/Office:

Position Title:

Reference Project Information: Provide the following information about the referenced project.

Reference Project Information

Customer Organization/Office:

Project Title:

POC Period of Involvement:

Type of Contract:

Period of Project Performance:

Start Date:

Length:

Contract Value:

Initial:

Current:

SIR 693KA9-20-R-XXXXX

SIR 693KA9-20-R-XXXXX

NOTE: THIS INFORMATION WILL BE KEPT CONFIDENTIAL

Source Selection Sensitive – For Official Use Only

Source Selection Sensitive – For Official Use Only

For the following questions, please circle/check the appropriate rating, with #5 being the highest and #1 being the lowest. Comment lines are provided for additional information if the #2 or #1 rating is given (however the comment lines may be used to provide any additional information deemed noteworthy).

High

Low

1.

QUALITY OF SERVICE:

This area deals with compliance of contract requirements, to include appropriateness of personnel and technical excellence.

2.

TIMELINESS OF PERFORMANCE:

This area deals with the contractor’s ability to meet milestones and delivery schedules, to include responsiveness to technical direction, completion of efforts on time including wrap-up and contract administration.

3.

PRICE/COST CONTROL:

This area deals with the contractor’s ability to control price/cost escalation during performance to include appropriate budgetary estimates and current/accurate/complete billings/invoices.

4
CUSTOMER SATISFACTION:

This area deals with the contractor’s commitment to satisfaction and cooperative/reasonable businesslike behavior with own staff and customers to include: effective management, responsiveness to contract requirements, prompt notification of problems, flexible and proactive qualities, effective contractor-recommended solutions, and effective subcontracting and teaming arrangements.

Comments (attach additional page(s) as necessary):

GENERAL INFORMATION: Please provide answers to the following questions.

5. Has the contractor ever been given a cure notice, show cause notice, suspension of progress payments, or other letters directing the correction of a performance problem; or has this contract been partially or completely terminated, or are there any pending termination actions?

( ) No ( ) Yes

If yes: ( ) Default ( ) Convenience; and please explain:

6. Changes in contract dollar value throughout the life of the contract are/were attributable, for the most part, to:

( ) Government-issued change orders( ) claims submitted by the contractor
( ) other Government actions( ) other contractor actions (please explain)

7. Based on this contractor’s overall performance, would you award this contractor another Government contract?

( ) Yes ( ) No If no, please explain:

8. If any of the above responses are based on adverse past performance, have you discussed it with the contractor and has the contractor had an opportunity to comment?

( ) Not Applicable ( ) Yes ( ) No If yes or no, please explain:

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